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These drugs should be avoided or given with extreme caution to patients with sinus node dysfunction or metoprolol trade name first-degree heart block. Diltiazem and verapamil can exacerbate these conditions leading to metoprolol trade name bradycardia especially in patients on other drugs that inhibit sinoatrial node function or slow AV nodal conduction.isoproterenol, dopamine, dobutamine Tiredness or dizziness has occurred in about 10% of patients with hypertension or angina receiving metoprolol tartrate in clinical trials; tiredness has been reported in about 1% of patients with MI receiving the drug.

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Geriatric patients: The geriatric population may show slightly metoprolol trade name plasma concentrations of metoprolol as a metoprolol trade name result of a decreased metabolism of the drug in elderly population and a decreased hepatic blood flow.Concomitant administration of a beta-adrenergic antagonist with a calcium channel blocker may produce an additive reduction in myocardial contractility because of negative chronotropic and inotropic effects.

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Therefore, metoprolol, like other β-blockers, can be used for secondary prevention following acute MI to reduce the risk of reinfarction and mortality.β-blocker, ACE inhibitor Withholding of, or reduction in, β-blocker therapy may be considered in patients hospitalized after recent initiation or increase in β-blocker therapy.

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Micrograms/minute, until required effect has been obtained. In refractory cases isoprenaline can be combined with dopamine.The following information includes only the average doses of this medicine.

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You should not use Toprol-XL if you have a severe heart block greater than first degree sick sinus syndrome without a pacemaker, severe circulation problems, severe heart failure, a history of slow heart beats that caused fainting, or if you are allergic to Toprol-XL or metoprolol. You should not use Toprol-XL if you are allergic to metoprolol, or other beta-blockers atenolol, carvedilol, labetalol, nadolol, nebivolol, propranolol, sotalol, and others or if you have: a serious heart problem such as heart block greater than first degree or sick sinus syndrome without a pacemaker; asthma, chronic obstructive pulmonary disease COPD sleep apnea, or other breathing disorder; diabetes taking Toprol-XL may make it harder for you to tell when you have low blood sugar peripheral vascular disease or claudication pain in your legs when walking Tell your doctor about all medications you are taking before using Toprol-XL, especially any calcium channel blockers including diltiazem, verapamil, and others Tell your doctor if you are is metoprolol generic or brand name or plan to become pregnant.Oussama_Wazni, MD: Rate control is when patients are left in afib but the ventricular heart rate is controlled with meds such as metoprolol or diltiazem.

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See also Precautions section.The amount of data on the use of Metoprolol in pregnant women is limited. The risk to the fetus/mother is unknown.

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There have been some reported cases of increased antinuclear factor ANF levels during metoprolol therapy; metoprolol trade name, other reports indicate decreased ANF levels, and no positive ANF findings have been associated with adverse effects of metoprolol involving the skin and eyes.Most people with high blood pressure do not feel sick.


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